Individual provider Active NPI

Tiffany Kay Grinstead, CFY

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1205325156
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
3815 Marquis PL
Woodbridge, VA 22192-6228
Phone
(703) 590-9874
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3815 Marquis PL
Woodbridge, VA 22192-6228

Mailing address

1204 S Washington St Apt 313
Alexandria, VA 22314-4449
Phone (703) 590-9874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1205325156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S WASHINGTON ST APT 313",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144449",
            "telephone_number": "703-590-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 MARQUIS PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926228",
            "telephone_number": "703-590-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINSTEAD",
        "first_name": "TIFFANY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.